MSNCB Health Promotion & Disease Prevention 4

Question 1

A nurse is educating a patient about modifiable risk factors for cardiovascular disease. Which factor is classified as non-modifiable?

Accepted Answer

Family history of heart disease

Answer

Family history (genetics) is a non-modifiable cardiovascular risk factor, unlike hypertension, hyperlipidemia, and inactivity, which can be changed.

Question 2

A patient with a history of alcohol use disorder asks about liver disease prevention. Which nursing response demonstrates the most effective primary prevention strategy?

Accepted Answer

Encourage complete abstinence from alcohol and provide referral to support services

Answer

Primary prevention of alcohol-related liver disease centers on cessation of alcohol use; referral to support services addresses the underlying addiction.

Question 3

A nurse applies the Health Belief Model to understand why a patient refuses the herpes zoster (shingles) vaccine. The patient says, 'I don't think I'll ever get shingles.' Which barrier does this represent?

Accepted Answer

Low perceived susceptibility

Answer

Low perceived susceptibility means the patient does not believe they are at risk for the condition, which reduces motivation to seek preventive care.

Question 4

A nurse is assessing fall risk in a hospitalized 78-year-old patient. Which intervention is considered primary prevention of fall-related injury in this population?

Accepted Answer

Non-slip footwear, bed alarms, and hourly rounding before any fall occurs

Answer

Primary prevention of falls involves implementing measures—such as non-slip footwear, bed alarms, and rounding—before a fall event occurs.

Question 5

A nurse teaches a patient about cervical cancer prevention. Which statement best reflects current CDC and ACOG guidelines?

Accepted Answer

HPV vaccine is recommended for all individuals through age 26, and Pap smear with HPV co-test every 5 years for women 30–65

Answer

Current guidelines recommend HPV vaccination through age 26, and co-testing (Pap + HPV) every 5 years for women aged 30–65 for cervical cancer prevention and early detection.

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

MSNCB Health Promotion & Disease Prevention 4